Individual
NICOLE MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 BERLIN RD, GIBBSBORO, NJ 08026
(856) 739-1013
Mailing address
583 SHOEMAKER RD STE 230, KING OF PRUSSIA, PA 19406-4201
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52598
NJ
Other
Enumeration date
02/06/2018
Last updated
05/20/2022
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